Provider Demographics
NPI:1558511006
Name:HUSTON, ERIKA T (DPM)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:T
Last Name:HUSTON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3115
Mailing Address - Country:US
Mailing Address - Phone:520-327-6367
Mailing Address - Fax:520-318-4492
Practice Address - Street 1:1888 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3115
Practice Address - Country:US
Practice Address - Phone:520-327-6367
Practice Address - Fax:520-318-4492
Is Sole Proprietor?:No
Enumeration Date:2008-09-21
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0683213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1477730315OtherGROUP NPI
AZZ142994Medicare UPIN
Z142996Medicare UPIN